NPI 1902653447

Lisa Petoff Mairowitz

Practitioner Dental Assistant Avon By the Sea, NJ

Practice location

Address: 514 Garfield Ave, Avon By the Sea, NJ 07717-1157
Phone: (732) 775-1492
Fax: (732) 775-1498

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 22DP00650600 (NJ)

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Registry record

NPI: 1902653447
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 May 2024
Record last updated: 2 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.